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DAVENPORT FAMILY SERVICES LLC
NPI 1225810609
Intermediate Care Facility, Intellectual Disabilities in Charlotte, NC

Active since October 19, 2023
3412 THISTLE BLOOM CT, CHARLOTTE, NC 28269(980) 384-8103 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Davenport Family Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVENPORT FAMILY SERVICES LLC (NPI 1225810609) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Charlotte, North Carolina and active in the NPI registry since October 2023. The organization lists Jermaine Davenport, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225810609
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDAVENPORT FAMILY SERVICES LLC
Location Address3412 THISTLE BLOOM CTCharlotte, NC 28269-1309
Mailing Address3412 Thistle Bloom CtCharlotte, NC 28269-1309 · (980) 384-8103
Phone(980) 384-8103
Organization SubpartNo
Authorized OfficialJermaine DavenportCeo · (828) 279-4443
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1225810609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedRespite CareTaxonomy 385H00000X
3412 THISTLE BLOOM CT, Charlotte, NC 28269
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davenport Family Services LLC's NPI number?

The NPI number for Davenport Family Services LLC is 1225810609. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Davenport Family Services LLC located?

Davenport Family Services LLC is located at 3412 Thistle Bloom Ct, Charlotte, NC 28269. The listed phone number is (980) 384-8103.

What is Davenport Family Services LLC's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Davenport Family Services LLC was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.